Provider Demographics
NPI:1568221455
Name:HOWELL, CARROL WILLIAM JR
Entity Type:Individual
Prefix:MR
First Name:CARROL
Middle Name:WILLIAM
Last Name:HOWELL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-4505
Mailing Address - Country:US
Mailing Address - Phone:318-254-2830
Mailing Address - Fax:
Practice Address - Street 1:100 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-6090
Practice Address - Country:US
Practice Address - Phone:318-251-3796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5671101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor